| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49,091 |
43,056 |
$2.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,665 |
31,147 |
$995K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,611 |
7,598 |
$527K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
9,279 |
7,371 |
$314K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,825 |
5,839 |
$238K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,703 |
567 |
$163K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
986 |
883 |
$148K |
| 99205 |
Prolong outpt/office vis |
1,665 |
1,448 |
$115K |
| 99233 |
Prolong inpt eval add15 m |
2,657 |
984 |
$106K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,923 |
4,667 |
$100K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
6,027 |
1,487 |
$93K |
| 99215 |
Prolong outpt/office vis |
1,941 |
1,587 |
$92K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,852 |
993 |
$83K |
| 11056 |
|
3,975 |
3,088 |
$82K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,407 |
1,960 |
$78K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,770 |
1,313 |
$78K |
| 88342 |
|
3,782 |
3,094 |
$77K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,432 |
1,182 |
$67K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,692 |
697 |
$66K |
| 88307 |
|
1,472 |
1,204 |
$66K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
499 |
389 |
$60K |
| 95811 |
|
333 |
305 |
$57K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,116 |
989 |
$53K |
| 97803 |
|
5,052 |
4,744 |
$53K |
| 11721 |
|
4,103 |
2,943 |
$53K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,034 |
1,739 |
$50K |
| 00731 |
|
569 |
501 |
$39K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
858 |
565 |
$28K |
| 99386 |
|
508 |
422 |
$23K |
| 95251 |
|
1,361 |
1,213 |
$22K |
| 90791 |
Psychiatric diagnostic evaluation |
317 |
247 |
$19K |
| 99292 |
|
492 |
185 |
$18K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
429 |
355 |
$17K |
| 88304 |
|
1,115 |
926 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
189 |
153 |
$13K |
| 97597 |
|
433 |
298 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
170 |
158 |
$8K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
30 |
26 |
$6K |
| 92002 |
|
192 |
173 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
105 |
85 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
119 |
93 |
$5K |
| 11057 |
|
151 |
142 |
$5K |
| 43237 |
|
49 |
37 |
$4K |
| 76536 |
|
160 |
150 |
$4K |
| 11720 |
|
420 |
280 |
$3K |
| 91200 |
|
518 |
382 |
$3K |
| 76942 |
|
74 |
72 |
$3K |
| 97802 |
|
131 |
126 |
$2K |
| 99226 |
|
66 |
20 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
78 |
61 |
$2K |
| 99201 |
|
126 |
116 |
$2K |
| 88341 |
|
37 |
33 |
$1K |
| 00811 |
|
14 |
13 |
$1K |
| 99220 |
|
17 |
16 |
$1K |
| 16020 |
|
32 |
27 |
$891.50 |
| 64450 |
|
18 |
13 |
$789.56 |
| 99385 |
|
16 |
12 |
$705.40 |
| 20610 |
|
22 |
17 |
$626.46 |
| 00813 |
|
13 |
12 |
$601.57 |
| 17250 |
|
19 |
15 |
$410.38 |
| 88312 |
|
13 |
13 |
$410.35 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
12 |
$399.79 |
| 99459 |
|
67 |
52 |
$360.88 |
| 95249 |
|
37 |
31 |
$272.31 |
| 99441 |
|
38 |
30 |
$243.86 |
| 92229 |
|
352 |
299 |
$215.16 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
29 |
$215.08 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
232 |
209 |
$201.25 |
| 92228 |
|
650 |
537 |
$102.94 |
| 88311 |
|
20 |
12 |
$62.13 |
| 92015 |
Determination of refractive state |
1,203 |
1,083 |
$32.46 |
| 3008F |
|
16,613 |
14,630 |
$0.00 |
| 1126F |
|
10,391 |
9,127 |
$0.00 |
| 3079F |
|
4,168 |
3,710 |
$0.00 |
| 4010F |
|
8,091 |
6,976 |
$0.00 |
| 1170F |
|
5,489 |
4,858 |
$0.00 |
| 4255F |
|
5,031 |
4,627 |
$0.00 |
| 3074F |
|
10,039 |
8,809 |
$0.00 |
| 3044F |
|
5,450 |
4,721 |
$0.00 |
| 1125F |
|
7,152 |
6,306 |
$0.00 |
| 3061F |
|
272 |
263 |
$0.00 |
| 99024 |
|
1,137 |
981 |
$0.00 |
| 3075F |
|
1,872 |
1,677 |
$0.00 |
| 1036F |
|
2,829 |
2,499 |
$0.00 |
| 3048F |
|
2,467 |
2,174 |
$0.00 |
| G9642 |
Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana) |
1,038 |
815 |
$0.00 |
| 3049F |
|
324 |
294 |
$0.00 |
| 4000F |
|
415 |
400 |
$0.00 |
| 3351F |
|
1,223 |
1,132 |
$0.00 |
| 1031F |
|
1,006 |
910 |
$0.00 |
| 3060F |
|
264 |
249 |
$0.00 |
| 3052F |
|
135 |
124 |
$0.00 |
| 3080F |
|
543 |
484 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
29 |
29 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
303 |
220 |
$0.00 |
| 93289 |
|
23 |
20 |
$0.00 |
| 3352F |
|
64 |
62 |
$0.00 |
| 1034F |
|
26 |
25 |
$0.00 |
| 92227 |
|
42 |
31 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
17 |
14 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
966 |
941 |
$0.00 |
| 3077F |
|
2,390 |
2,116 |
$0.00 |
| G9656 |
Patient transferred directly from anesthetizing location to pacu or other non-icu location |
27,658 |
20,828 |
$0.00 |
| 1033F |
|
6,459 |
5,634 |
$0.00 |
| 1160F |
|
18,537 |
16,054 |
$0.00 |
| G9655 |
A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used |
27,569 |
20,735 |
$0.00 |
| G9654 |
Monitored anesthesia care (mac) |
8,203 |
6,313 |
$0.00 |
| G9771 |
At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time |
17,938 |
13,855 |
$0.00 |
| 3288F |
|
7,697 |
6,862 |
$0.00 |
| 1159F |
|
18,203 |
15,797 |
$0.00 |
| 3078F |
|
10,260 |
9,069 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
6,779 |
4,749 |
$0.00 |
| 1032F |
|
1,554 |
1,361 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
688 |
593 |
$0.00 |
| 3050F |
|
115 |
105 |
$0.00 |
| 3046F |
|
474 |
431 |
$0.00 |
| 3062F |
|
334 |
316 |
$0.00 |
| 3051F |
|
221 |
195 |
$0.00 |
| G9643 |
Elective surgery |
36 |
36 |
$0.00 |
| 87210 |
|
15 |
15 |
$0.00 |